Share |

ICD-10: CMS Accepts 81 Percent of ICD-10 Test Claims

Posted on 14. May, 2015 by in ICD-10

Biggest denial reason had nothing to do with diagnosis coding.

It appears that ICD-10 really will be implemented this year, with a recent Congressional hearing confirming that the government doesn’t plan to push back the new diagnosis coding system any further than it already has been—and with those plans full steam ahead, CMS revealed that its recent end-to-end testing period returned positive results.

The agency processed 14,929 test claims during the Jan. 26 to Feb. 3 testing period, from 661 participating providers. An overwhelming majority of claims—81 percent—were accepted through the system, and the remaining claims were rejected for three main reasons, as follows, according to the most recent statistics released by CMS:

  • Invalid submission of ICD-9 codes (seen in three percent of rejected claims)
  • Invalid submission of ICD-10 codes (as demonstrated by another three percent of claims that didn’t pass through the


Signup to read articles and receive SuperCoder Bolt Newsletter

Register for Article Access
Access our articles and receive SuperCoder Bolt Newsletter.
You will also receive
  • Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
  • Discounts on 3rd party offers
SuperCoder Bolt
You must have javascript enabled to use this form

If you've already signed in and are still seeing this screen, click here to refresh the page.